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NPI 1336707447

NPI 1336707447 : PYLE FAMILY CHIROPRACTIC PLLC : PEORIA, AZ

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General NPI Number Information
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    NPI Number           |    1336707447
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    Entity Type          |    Organization 
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    Legal Business Name  |    PYLE FAMILY CHIROPRACTIC PLLC 
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Dates
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    Enumeration Date     |    06/04/2019
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    Last Update Date     |    06/04/2019
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Provider Practice Location Address
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    Address Line         |    10200 W HAPPY VALLEY PKWY STE 135 
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    City                 |    PEORIA
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    State                |    AZ
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    Zip                  |    85383-2879
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    Country              |    US
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    Telephone            |    623-432-2543
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    Fax                  |    623-455-8356
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Provider Business Mailing Address
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    Address Line         |    13578 W HEARN RD 
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    City                 |    SURPRISE
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    State                |    AZ
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    Zip                  |    85379-8362
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    Country              |    US
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    Telephone            |    480-236-1703
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. NICHOLAS ANDREW PYLE 
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    Credential           |    DC
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    Telephone            |    480-236-1703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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